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Contact Information

HERITAGE HEALTHCARE OF NORTHERN NEW MEXICO, INC
1012 MILLS AVE
LAS VEGAS, NM87701-4049
 Phone: 575-522-2323
 Fax: 575-522-2322
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Home Health

251E00000X A4[11] Home Health Agency
Indicates primary specialty

NPI Profile & details for HERITAGE HEALTHCARE OF NORTHERN NEW MEXICO, INC

NPI # 1104155753
LBN Legal business name HERITAGE HEALTHCARE OF NORTHERN NEW MEXICO, INC
Authorized official SUSAN MARBERRY - (CCO)
Entity Organization
Organization subpart 1 No
Enumeration date 12/10/2009
Last updated 01/22/2026 - About 4 months ago
Identifiers
NM License # 002570
NM Other 7068 LICENSE
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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